In April this year, Emily
Whitehead's family had almost given up hope.
The brave six-year-old had been
fighting leukaemia for two years. But in February she had relapsed for a second
time during intensive chemotherapy treatment.
Doctors had exhausted all the
traditional treatments as Emily could not remain in remission for long enough
to attempt a bone marrow transplant. So Emily's desperate parents, Kari and
Tom, started looking at more radical options.
'We made the decision that we needed to go somewhere else,' said Mrs Whitehead.
'We needed to try something new,
different and cutting-edge.'
So they turned to the Cancer Center at The Children’s
Hospital of Philadelphia, which is involved in testing a pioneering new
therapy.
Doctors suggested they sign Emily up to a clinical trial that would use a disabled form of HIV to carry cancer-fighting genes into her T-cells (disease fighting cells). The hope was that this would reprogramme her immune system to recognise the cancer cells and start killing them.
Several adults had already been enrolled
in the study at the Hospital of the University of Pennsylvania and had
responded well but as it was so new the treatment wasn't without risks. But
time was running out for Emily, who is also known as Emma.
Mr Whitehead said: 'We were told
that we were down to 48 hours of making a decision or she could start having
organ failure.'
They comforted themselves with the
knowledge that even if the treatment didn't work, it would provide doctors with
information that could help them save other sick children.
So on April 17, the then
six-year-old became the first child to have the therapy known as CTL019.
All did not go smoothly at first.
The family had been warned Emily could experience flu-like symptoms a few days
after being infused with her reengineered T-cells.
However, Emily’s symptoms were far
more serious than doctors anticipated. She became critically ill and was
admitted to intensive care at the children's hospital. On April 24, doctors
told her parents she had a one in 1,000 chance of surviving the night, but she
pulled through thanks to their expertise.
Trial leader Dr Stephan Grupp and
his team realised that the level of a certain protein had become very elevated
as a result of the T-cells growing in Emily's body.
This same protein is involved in rheumatoid
arthritis, and there is a drug for that disease that turns off production of
that particular protein.
The team administered the drug to
Emily, with dramatic results: her condition improved faster than anyone could
have hoped for. Almost overnight, her breathing improved, her fever dropped and
her blood pressure was back to normal.
Mrs Whitehead said Emily inspired
them with how she coped.
'She's extremely smart and creative.
She's funny - she makes us laugh all the time. She never complains,' she said.
Her husband added: 'She told us from the beginning that she would continue to fight and do what we asked as long as we were there with her. We've stuck together as a team. She's definitely our hero.'
Several weeks after her T-cell
infusion, they were able to conduct a bone marrow test to find out if the
therapy had worked.
'Three weeks after receiving the
treatment, she was in remission,' said Dr Grupp.
'Emily completely responded to her
T-cell therapy. We checked her bone marrow for the possibility of disease again
at three months and six months out from her treatment, and she still has no
disease whatsoever. The cancer-fighting T-cells are still there in her body.'
He added that they need to see the
remission go on for a couple of years before they can think about whether she
is cured or not. It is simply too early to say.
But for Kari and Tom, it’s
incredible to think how much has changed in just a few months. After spending
years in treatment, Emily went home in June and now enjoys going to school,
playing football and walking her dog Lucy. She’s living life like any other
little girl.
'T-cell therapy was really the only
option left for Emily,' said Mr Whitehead.
'But we entered her into the trial
really hopeful, and from the very beginning we just really had a good feeling
about it. So all along we said, "it just has to work, it has to work for
Emily" – and it did.'
The scientists said although the
results were very promising, much more research needs to be done to see whether
the therapy is a viable, safe and long-term solution for controlling certain
cancers in children and adults.
But for one family at least, it has
provided a new lease of life.
Ken Campbell, Clinical Information
Officer at Leukaemia & Lymphoma Research, said the results of the study
were encouraging for both children and adults diagnosed with leukaemia.
'Treatments which modify the body’s
own immune system to fight leukaemia have shown much promise in recent years,'
he said.
Dr. Grupp |
'What is significant about [the]
therapy is that the severe side-effects associated with this form of treatment
seem to be greatly reduced when combined with other drugs.
'This is a small study of just 12
patients. Larger clinical trials are needed to determine how effective this
treatment could be and as a result it should be some time before it is
available in the UK.'
Researchers from the University of
Pennsylvania and Children’s Hospital of Philadelphia presented their latest
findings at the American Society of Hematology’s annual meeting in Atlanta.
They found nine out of 12 patients
in the trial, which included Emily and one other child, responded to the
treatment. Their goal is to treat another 12 patients over the next year.
culled from dailymail.co.uk
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